"Dear Steve, I saw a patient this morning with your book [in hand] and highlights throughout. She loves it and finds it very useful to help her in dealing with atrial fibrillation."

Dr. Wilber Su,Cavanaugh Heart Center, Phoenix, AZ

"...masterful. You managed to combine an encyclopedic compilation of information with the simplicity of presentation that enhances the delivery of the information to the reader. This is not an easy thing to do, but you have been very, very successful at it."

Ira David Levin, heart patient, Rome, Italy

"Within the pages of Beat Your A-Fib, Dr. Steve Ryan, PhD, provides a comprehensive guide for persons seeking to find a cure for their Atrial Fibrillation."

Walter Kerwin, MD, Cedars-Sinai Medical Center, Los Angeles, CA

Radiation Exposure During Ablation: How to Protect Yourself from Damage

Floroscopy image of catheter placement

By Steve S. Ryan, PhD, January 2012

Exposure to radioactivity during an ablation used to be a legitimate concern. (Doctors and nurses wore lead aprons during an ablation.) Back in 2003, a typical A-Fib ablation resulted in around 50 minutes of fluoroscopy time.1 One hour of fluoroscopy imaging is associated with a lifetime three-in-ten thousand chance (0.03%) of developing a fatal malignancy, and a risk of passing on a genetic defect of 20 per 1 million births,2These risks were considered relatively small compared to the risks of being in A-Fib, antiarrhythmic drug therapy, and/or surgery.3

Doctors follow directives which limit the amount of radiation you can be exposed to during an ablation. If you get close to exceeding these limits, they will stop the ablation (though this rarely happens).

Today Less or No Fluoroscopy

But many centers today use much less or no fluoroscopy at all. Instead many use 3D non-fluoroscopy (no radiation) imaging techniques such as Intracardiac Echocardiography (ICE), and Magnetic Resonant Imaging (MRI). You need to check with your A-Fib center as to how much radiation their typical A-Fib ablation patient is exposed to. The radiation dose for a typical A-Fib ablation is estimated to be 18.4 mSv.4 However, the radiation amount at your A-Fib center will vary depending on what type of imaging equipment they use.

Once you learn what amount of ablation radiation you might be exposed to at your A-Fib center, then you can compare it to the following to determine if you should be concerned:

TYPE OF RADIATION EXPOSURE

AMOUNT (mSv units)

Average Background Radiation/year

2.4 mSv

Chest X-Ray Radiation

0.02-0.2 mSv

Full-mouth Dental X-Ray

0.03-0.2 mSv

Mammogram

0.7 mSv

Spinal X-Ray Radiation

1.5 mSv

Heart CT Scan Radiation (100-600 Chest X-rays)

12.0 mSv

25.5 min. fluoroscopy during an A-Fib Ablation

15.2 mSv

[The author did a very unscientific survey of the A-Fib medical centers in his area. The average seemed to be 10-20 minutes of fluoroscopy time [for those who used fluoroscopy] for an A-Fib ablation, but more complicated cases could expose patients to 60(+) minutes of fluoroscopy time.]

Before and After: Protecting Yourself from Radiation Damage

You can take measures before and after your ablation to help protect yourself from radiation damage. Since much of the cancer-causing damage from ionizing radiation is from hydroxyl free radicals, it’s recommended to take antioxidant supplements to neutralize them.

Before and after your ablation, it’s recommended to take antioxidant supplements to neutralize hydroxyl free radicals.

A typical plan is to take the following natural supplements every six hours for at least 24 hours before and after your radiation exposure. These are available without a prescription from health food stores. Check with your doctor before taking any supplements.

Vitamin C 1000 mg

Lipoic Acid 400 mg

N-Acetyl Cysteine 200 mg

Melatonin 3 mg

Do Low Doses of Radioactivity Combat Cancer?

In 2004, the Journal of American Physicians and Surgeons published an amazing study of radiation exposure that calls into question the prevailing “linear no-threshold” (LNT) theory of radiation.5

But bear in mind that, even a one hour-long exposure to fluoroscopy, is a relatively small risk compared to the risks of being in A-Fib, antiarrhythmic meds, and/or surgery.

The story starts 20 years earlier in 1983 when 180 apartment building were built in Taiwan. But somehow highly radioactive Cobalt-60 was mixed into the concrete. The 10,000 people who lived in these apartments for 9-20 years received an average of 74 millesieverts (mSv) of radiation a year (a typical catheter ablation using fluoroscopy produces around 15 mSv6 but much less for non-x-ray imaging systems).

Amazingly, the cancer rates of people living in these highly radioactive buildings were 3.6% of prevailing Taiwanese rates. This is a reduction in cancer rates of 96.4%. This phenomenon is perhaps explained by the theory of hormesis which holds that intermediate levels of radioactivity actually stimulate life and improve health.

Editor’s Note: The nuclear theory that any level of radiation is cumulatively damaging may not be valid (the Linear No Threshold theory). The levels of radiation received during a typical catheter ablation may not be dangerous, but may even be healthful.

The levels of radiation received during a typical catheter ablation may not be dangerous, but may even be healthful.

Disclaimer: the authors of this Web site are not medical doctors and are not affiliated with any medical school or organization. The information on this site is not intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health professional prior to starting any new treatment or with any questions you may have regarding a medical condition. Nothing contained in this service is intended to be for medical diagnosis or treatment.